Oakmont of Lodi

(b) Assistance with instrumental activities of daily living in the combinations which meet the needs of residents. This is not met as evidenced by: Based on record review, The licensee did not ensure that the facility staff completed and initialed the logs for assisgned tasks and duties and monthly assisgnments were completed. This poses a potential health, safety, and personal rights risks to persons in care.

Based on record review, the licensee did not comply with the section cited above in that [2] out of [10] facility personnel files did not contain updated annual training which poses/posed a potential health, safety or personal rights risk to persons in care.

Incidental Medical and Dental CareA plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by:Based on a review of the facility medication administration record (MAR) and Controlled Medication Administration Record, it was observed that required initials/notes for prescribed medications were missing indicating that they were not properly dispensed which poses/posed an immediate risk to the health, safety, and personal rights of the residents in care.

Incidental Medical and Dental CareA plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by:Based on a review of the facility medication administration record (MAR) and Controlled Medication Administration Record, it was observed that required names/initials for narcotics counts were missing, dates were omitted or incorrect, and medications were not dispensed as prescribed which poses/posed an immediate risk to the health, safety, and personal rights of the residents in care.

In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. The facility was found to be deficient as evidenced by the presence of incomplete forms and documents for staff assignments not being properly filled out and initialed when tasks for proper care and supervision to the residents were completed which posed an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Incidental Medical and Dental CareA plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by:Based on a review of the facility medication administration record (MAR) and Controlled Medication Administration Record, it was observed that required names/initials for narcotics counts were missing, dates were omitted or incorrect, and medications were not dispensed as prescribed which poses/posed an immediate risk to the health, safety, and personal rights of the residents in care.

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This facility was found to be deficient as evidenced by a review of the facility personnel report which did not contain adequate staffing for all shifts at all times posing an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Based on record review, the licensee did not comply with the section cited above in that [10] out of [10] facility resident files were missing required forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in that the narcotic counts were incomplete missing required information. In addition, there were errors in documentation for days when the narcotics were dispensed to the residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that [3] out of [10] facility personnel files did not have updated First Aid Training which poses an immediate health, safety or personal rights risk to persons in care.

87465(a)(6) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility.When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement was not met as evidence by:Based on file review: The Feb & May MARs provided to LPA Martinez by Facility showed staff did not sign off on MARs for medication Metoprolol on May 23 and 25 & Feb 07 2024. This posed a potential health and safety risk to R1.

87463(a) Reappraisals: The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. This requirement was not met as evidence by: Based on interviews and file reviews, R2's assessments were not maintained and did not contain significant health changes and the assessments provided to LPA Martinez were not signed by RP, R2, or staff. This posed an immediate health and safety risk to R2.

87465(a)(4) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility...The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on interviews and file review: The Licensee did not ensure R1 was administered the correct Metoprolol dosage from 06/06/24 to 07/09/2024. This posed an immediate health and safety risk to R1.

Based on file reviews, interviews, and medication audit, the licensee did not comply with the section cited above. A med-tech signed off on R1's controlled drug record that Morphine was administered when it was not administered. The medication was left in R1's room resulting in the medication to be unaccounted for. This action also resulted in controlled medication count being off. This posed an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 4 out of 5 staff did not have first aid training by a qualified agency. This poses a potential health, safety or personal rights risk to persons in care.

Based on interviews, file review, and medication audit, the licensee did not comply with the section cited above. facility staff did not follow R1's morphine orders and was not administered medication as noted on the controlled drug record and MAR. This posed an immediate health, safety or personal rights risk to persons in care.

Based on file reviews and interviews, the licensee did not comply with the section cited above. The last fire drill conducted by facility staff was on 12/29/2023, which poses a potential health, safety or personal rights risk to persons in care.

87465(a)(4) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on file review and interviews, the Licensee did not ensure staff were administering medications to R1. This posed and immediate health and safety risk to R1.

87465(6)Incidental Medical and Dental Care The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... This requirement was not met as evidence by: Based on interviews and file reviews, The Licensee did not ensure MARs were being maintained for R1, R2, and R3. This posed a potential health and safety risk to residents in care.

87465(g) Incidental Medical and Dental Care The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health...This requirement was not met as evidence by. Based on file review and interviews, The Licensee did not ensure to seek timely medical attention for R1. R1 was not monitored/check on 10/27/23 and when R1 was checked on R1 was found naked on the ground, and R1 was on the ground for an undetermined amount of hours. This posed an immediate health and safety risk to R1.

1569.312(e) Basic services requirements: Every facility required to be licensed under this chapter shall provide at least the following basic services: Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidence by: Based on file review and interviews, the Licensee did not ensure R1 was monitored daily. R1 was found on the ground unable to get up from the floor for hours due to lack of monitoring/basic services. This posed an immediate health and safety risk to R1.

87211(a)(1)(D)Reporting Requirements each licensee shall furnish to the licensing agency such reports...Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: based on interviews and file review the facility did not submit incident reports in regards to medication errors. This posed a potential health and safety risk to R1.

87465(a)(4) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility...The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on file review and interviews, The licensee did not ensure staff were administering R1, R2, and R3's medication as required and did not ensure staff were administering the correct medication to R2 and R3. This posed an immediate health and safety risk to R1, R2, and R3.